Individual provider · Type 1 NPI

Tyler Matthew Peckham

Mental Health Counselor · Beavercreek, OH

NPI number 1013423367 Active

Practice location

3359 Kemp Rd Ste 200
Beavercreek, OH 45431-2567

Call (937) 490-2090 Map

Fax (937) 490-2780

Mailing address

303 W Ross St
Troy, OH 45373-3931

Other practice locations

  • 303 W Ross St, Troy, OH 45373-3931 · (937) 216-9282

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XE.2505064 (OH)
Case Manager/Care Coordinator 171M00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013423367

Tyler Matthew Peckham's National Provider Identifier is 1013423367, issued on Dec 22, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beavercreek, OH. The record was last updated on Oct 3, 2025.